Drought-related stress among farmers: findings from the Australian Rural Mental Health Study
Drought-related stress among farmers: findings from the Australian Rural Mental Health Study
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DOI：
10.5694/mja17.01200
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发表时间：
2018-08-20
影响因子：
11.4
通讯作者：
Kelly, Brian J.
中科院分区：
文献类型：
--
作者：
Austin, Emma K.;Handley, Tonelle;Kelly, Brian J.
目标：调查农民在个人和社区层面经历的一般压力和与干旱相关的压力，以及社会人口和社区因素是否影响这种压力。设计：对澳大利亚农村心理健康研究 (ARMHS) 的数据进行多变量分析，这是一项纵向队列研究（2007-2013 年）。地点：新南威尔士州非大都市。参与者：664 名 ARMHS 参与者的子集（在 主要结果指标：个人干旱相关压力 (PDS)、社区干旱相关压力 (CDS) 和一般心理困扰（K10 分数）。结果：35 岁以下、在农场生活和工作的农民经历了更大的经济困难，并且位于新南威尔士州外围地区、偏远或非常偏远地区的农民报告 PDS 的频率特别高。在这些因素中，只有年龄低于 35 岁和地处偏远与 CDS 发病率较高相关。前 12 个月的温和潮湿天气减少了 PDS 和 CDS，但增加了总体痛苦。中度或极端潮湿天气不会影响 PDS 或一般不适，但中度潮湿天气与 CDS 增加相关。与干旱相关的压力和一般心理困扰受到不同社会人口和社区因素的影响。结论：新南威尔士州的农民因干旱对自己、家庭和社区的影响而承受着巨大的压力。年龄较小、在农场生活和工作、遇到经济困难或与世隔绝的农民尤其面临干旱相关压力的风险。向农民和农业社区提供援助的医生可以为缓解干旱压力的举措做出贡献。
Objectives: To investigate general and drought-related stress experienced by farmers at both the personal and community levels, and whether socio-demographic and community factors influence this stress.Design: Multivariate analysis of data from the Australian Rural Mental Health Study (ARMHS), a longitudinal cohort study (2007-2013).Setting: Non-metropolitan New South Wales.Participants: Subset of 664 ARMHS participants (at baseline) who identified as Living or working on a farm.Main outcome measures: Personal drought-related stress (PDS), community drought-related stress (CDS), and general psychological distress (K10 score).Results: Farmers who were under 35, both Lived and worked on a farm, experienced greater financial hardship, and were in outer regional, remote or very remote NSW reported PDS particularly frequently. Of these factors, only being under 35 and increased remoteness were associated with higher incidence of CDS. Mild wet weather during the prior 12 months reduced PDS and CDS but increased general distress. Moderate or extreme wet weather did not affect PDS or general distress, but moderate wet weather was associated with increased CDS. Drought-related stress and general psychological distress were influenced by different socio-demographic and community factors.Conclusions: Farmers in NSW experience significant stress about the effects of drought on themselves, their families, and their communities. Farmers who are younger, Live and work on a farm, experience financial hardship, or are isolated are at particular risk of drought-related stress. Medical practitioners who provide assistance to farmers and farming communities can contribute to initiatives that relieve stress about drought.